| Occupation as written | restaurant keeper |
| Standardised occupation | DE05: Dealing - Food |
| Application received | 21 Jul 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 21 Jul 1910 |
| If rejected, why? | |
| Birthplace as written | Gresdal, Denmark |
| Modern country | Denmark |
| Age on application | 60 |
| Age on arrival in Australia | 40 |
| Port of Departure | Denmark |
| Port of Arrival | Melbourne |
| Date of arrival | 19 Oct 1890 |
| Name of ship | Summerfelt |
| Voyage | Summerfelt (1890-10-19) |
| Address in Australia | Victoria Street, Banbury |
| Address State | Western Australia |
| Time at address | 6 years |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address | 2 years |
| Previous address 2 | Perth |
| Address State | Western Australia |
| Time at address | 1 years, 6 months |
| Previous address 3 | Fremantle |
| Address State | Western Australia |
| Time at address | 6 months |
| Married | Yes | |
| Children | Yes | 6: 2 girls and 4 boys |
| Name of reference | Frederick Walter Steere |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |